Traditionally, payment accuracy processes have been disjointed, complicated, and often fraught with errors. Health insurance providers have relied on on-premises technology and multiple vendors, creating fragmentation throughout the continuum. However, an integrated approach that coordinates disparate processes and innovative delivery models offers new insights—allowing health insurance providers to drive accuracy earlier and closer to the point of care.
During this webinar, panelists from Blue Cross Blue Shield Michigan and Change Healthcare will discuss how they are using a cohesive approach that offers a view across multiple solutions at different points along the payment continuum to drive performance improvements and savings.
Director, Payment Integrity Operations & Administrative Support
Blue Cross Blue Shield of Michigan
Kim has more than 20 years of operations leadership experience in healthcare and has been successful in directing progressive and strategic business development. In 2019, she led a team in delivering $560M of benefit expense value and drove $14M of revenue under services developed through inventive business strategies and customer focused solutions. She continues to lead change, efficiency, and modernization by building effective partnerships among stakeholders and fostering over 15 years of Inter-Plan Peer relationships to drive national consistency for customers. Kim is a founding member of the Blues Payment Integrity Workgroup, and functions as the backup Inter-Plan Executive.
Vice President, Solutions Design & Consulting Services
With more than 30 years in the healthcare industry, Amy brings both clinical and business experience to her current role as Vice President of Solution Design and Value Consulting. Amy has led the Clinical Claims Management business, including the leading claims editing and payment policy management solution used at top plans across the country.
Amy has held a variety of roles including customer service, clinical development, software development, as well as development and design for bundled payment solutions. She has a clinical background in pediatric nursing and transplantation services.
Area Vice President
ClaimsXten Cloud Services
Ben joined Change Healthcare in 2019, tasked with oversight of the Cloud Services operational program. Previously he spent 12 years at Humana, where he led the code edit vendor management team, with end to end oversight of all claim editing vendors.
Ben’s experience includes a myriad of progressive roles related to organizational design, process/program management, analytics and new content development. Prior to that, he served as a supply officer in the United States Navy with numerous sea and shore duty assignments.